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Home My WebLink AboutKevin Rice - Form 460 - Termination - 11-15-2012Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if appli 10 -21 -2012 (Month, Day, Year) from through 11 -15 -2012 1 11 -06 -2012 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. LZ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) O Sponsored STATE (Also Complete Part6) ❑ General Purpose Committee San Luis Obispo Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1351201 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Kevin Rice for City Council 2012 STREET ADDRESS (NO P.O. BOX) 333 Luneta Dr CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 -1521 (805) 602 -2616 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 14107 CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93406 -4107 (805) 602 -2616 OPTIONAL: FAX / E -MAIL ADDRESS kevin @rice20l2.com 4. Verification Date Stamp NOV g 6 2012 i 2. Type of Statement: ❑ Preelection Statement ❑ Semi - annual Statement ® Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVERPAGE Page 1 of 6 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 Treasurer(s) NAME OF TREASURER Kevin Rice MAILING ADDRESS PO Box 14107 CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93406 -4107 (805) 602 -2616 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify underpenalty ofperjury underthe laws ofthe State of California that the foregoing istrue and correct. -,I / ,-409'-� Executed on Executed on Executed on Executed on November 15, 2012 By Date November 15, 2012 By By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Recipient Committee Type or print in ink. COVERPAGE -PART 2 CALIFORNIA Campaign Statement FORM ' • Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Kevin Rice OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Council Member, City of San Luis Obispo, seeking RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 333 Luneta Dr San Luis Obispo CA 93405 -1521 Related Committees Not Included in this Statement: list any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEENAME NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME NAMEOFTREASURER I.D.NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE /PHONE Page 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE of 6 BALLOT NO. OR LETTER JURISDICTION I E] SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT [:]OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink Amounts may be rounded Statement covers period to whole dollars. from 10 -21 -2012 SEE INSTRUCTIONS ON REVERSE through 11 -15 -2012 Page 3 of 6 NAME OF FILER I.D. NUMBER Kevin Rice for City Council 2012 1351201 Expenditures Made Column Column Calendar Year Summary for Candidates Contributions Received Schedule H, Line 3 TOTAITHISPERIOD 8. SUBTOTAL CASH PAYMENTS ..... ............................... CALENDARYEAR Running in Both the State Prima and Primary 9. Accrued Expenses (Unpaid Bills Schedule F Line 3 (FROM ATTACHED SCHEDULES) 10. Nonmonetary Adjustment ........... ............................... TOTALTODATE 9 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ 1,191.70 17. LOAN GUARANTEES RECEIVED.. ......................... Schedule B, Part 2 $ General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 3,296.87 $ 4,046.87 .00 19. Outstanding Debts ......................... Add Line 2+ Line 9 in Column B above $ <3,000.00> 00 1/1 through 6130 7/1 to Date 2. Loans Received ....................... ............................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add lined +2 $ 296.87 $ 4,046.87 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 .00 - .00 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 296.87 $ 4,046.87 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line $ 1,191.70 7. Loans Made .............................. ............................... Schedule H, Line 3 •00 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 1,191.70 9. Accrued Expenses (Unpaid Bills Schedule F Line 3 .00 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 .00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ 1,191.70 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 894.83 13. Cash Receipts .................... ............................... Column A, Line 3above 296.87 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 .00 15. Cash Payments ................... ............................... Column A, Line 8 above 1,191.70 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ .00 if this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED.. ......................... Schedule B, Part 2 $ .00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ .00 19. Outstanding Debts ......................... Add Line 2+ Line 9 in Column B above $ .00 $ 4,046.87 .00 $ 4,046.87 .00 .00 $ 4,046.87 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to voluntary Expenditure Limit) Date of Election (mm /dd /yy) F Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period • ' I 6 1 from 10 -21 -2012 • - 11 -15 -2012 4 6 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Kevin Rice for City Council 2012 1351201 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D.NDEO CODE (IF SELF - EMPLOYED, ENTER NAME .PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFSUSINESS) I] IND Kevin Rice El COM Firefighter, Consolidated 300.00 3,296.87 11/4 333 Luneta Dr ❑OTH Fire Protection District of San Luis Obispo CA 93405 -1521 ❑ PTY Los Angeles County ❑SCC Ia IND Kevin Rice ❑COM Firefighter, Consolidated 2,996,87 3,296.87 11/15 333 Luneta Dr ❑OTH Fire Protection District of San Luis Obispo CA 93405 -1521 Os Los Angeles County c ❑ IND ❑ COM ❑OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑ COM ❑OTH ❑ PTY ❑ SCC SUBTOTAL$ 3,296 87 Schedule A Summary *Contributor Codes 1. Amount received this period - itemized monetary contributions. 3,296.87 IND - Individual COM - Recipient Committee ( ) ......................................................................... ............................... $ Include all ScheduleAsubtotals. (other than PTY or SCC) $ 00 OTH — Other business entity) 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. p ry l Part PTY — Political Party v T+nI m. fnry rnntrllh,rflnnc rprolvorl this narinrl SCC — Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Kevin Rice for City Council 2012 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Kevin Rice 333 Luneta Dr San Luis Obispo CA 93405 -1521 t[Z IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Kevin Rice 333 Luneta Dr San Luis Obispo CA 93405 -1521 t2 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF- EMPLOYED, ENTER NAMEOFBUSINESS) Firefighter Consolidated Fire Protection District of Los Angeles County $ 2,000. Firefighter Consolidated Fire Protection District of Los Angeles County $ 1,000. 8 Statement covers period from 10 -21 -2012 through 11 -15- SUBTOTALS $ .00 $ 3,000.00 $ 00 Schedule B Summary 1. Loans received this period ..................................................................................... ............................... $ .00 (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid orforgiven this period .......................................................................... ............................... $ 3,000.00 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................................ ............................... NET $ <3,000.00> Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) Amounts forgiven or paid by another party also must be reported on Schedule A. * If required. SCHEDULEB -PART1 2012 AMUUNI AMOUNTPAID THIS RECEIVED THIS OR FORGIVEN CLOSENOF THIS I PERIOD THIS PERIOD* PERIOD (g) INTEREST ❑ PAID CUMUL PAID THIS AMOUNTOF $ $ .00 DATE INCURRED Q FORGIVEN CALENDARYEAR 00 $ .00 $ 2,000.00 % $ PER ELECTION ** DATE DUE PAID $ .00 $ 3.13 DATE INCURRED $ .00 m FORGIVEN CALENDARYEAR 00 $ .00 $ 996.87 $ $ DATEDUE DATE INCURRED ❑ PAID ❑ FORGIVEN $ 8 SUBTOTALS $ .00 $ 3,000.00 $ 00 Schedule B Summary 1. Loans received this period ..................................................................................... ............................... $ .00 (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid orforgiven this period .......................................................................... ............................... $ 3,000.00 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................................ ............................... NET $ <3,000.00> Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) Amounts forgiven or paid by another party also must be reported on Schedule A. * If required. SCHEDULEB -PART1 2012 Page 5 of 6 I.D. NUMBER 0.00 2,000 1351201 % (e) (r) (g) INTEREST ORIGINAL CUMUL PAID THIS AMOUNTOF CONTRIBi PERIOD LOAN TO DATE CALENDARYEAR 0.00 2,000 $ 3,296.87 % $ PER ELECTION*" RATE 08 -30 -12 $ .00 $ DATE INCURRED CALENDARYEAR 0.00 1,000 $ 3,296.87 % $ PER ELECTION ** RATE 09 -14 -12 $ .00 $ DATE INCURRED CALENDARYEAR PER ELECTION** RATE $ $ DATE INCURRED $ .00 (Enter(e)on Schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10 -21 -2012 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,191.70 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 1,191.70 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ .00 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) $ .00 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 1,191.70 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) 11 -15 -2012 6 6 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Kevin Rice for City Council 2012 1351201 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIvP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate fling /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals WD independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,& 80 ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID New Times 1010 Marsh St PRT 751.00 San Luis Obispo CA 93401 SLOCO Data, Inc. LIT 440.70 1635 W Grand Ave Ste A Grover Beach CA 93433 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,191.70 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 1,191.70 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ .00 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) $ .00 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 1,191.70 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772)